Convergent Procedure for Atrial Fibrillation: Advanced Understanding and Practical Discussion

Published: 03 July 2020

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Overview

Full programme

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Part 4

of 4

How to Set-up a Convergent AF Ablation Programme

Riyaz Kaba, Yuri Blaauw, Syed Ahsan, Felix Yang

Overview

This virtual symposium combines presentations from leading practitioners, discussions, and procedural videos to look at the latest data, patient selection, fundamentals of the procedure and the set-up of a convergent AF programme.

The cornerstone of atrial fibrillation (AF) is electrical isolation of the pulmonary veins (PV). In patients with non-paroxysmal AF, PV isolation alone is insufficient and one needs to modify the atrial arrhythmogenic substrate. AF ablation is now a common procedure and mostly performed using a transvenous, endocardial approach with catheters. For patients with persistent AF however, this procedure is not sufficient.

There is a growing movement towards a convergent procedure management strategy, used alongside standard catheterisation techniques to optimise patient outcomes. More and more research suggests that an integrated approach involving multidisciplinary teams (of electrophysiologists and surgeons) may lead to improved success rates and increased patient satisfaction.

Convergent procedure is a promising therapy for patients’ refractory to standard AF treatment, however the approach involves some challenges that require specific attention from the medical specialities involved. Whilst a relatively new way of working for both EPs and surgeons, the benefits and best ways of implementing this in clinical practice are still largely unknown.

 

EBAC Accreditation

This programme was funded by an unrestricted educational grant from AtriCure.

Learning objectives

  • Discuss the Need for Optimal Approaches to Atrial Ablation and Identify Patients for the Convergent Procedure
  • Describe the Convergent Procedure and the Role of Electrophysiologist and Surgeon
  • Discuss Current Clinical Understanding of the Convergent Procedure Including Emerging Data and the Role of the Left Atrial Appendage in Ablation 

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Faculty biographies